• Inpatient Coder 2 (H)

    University of Miami (Medley, FL)
    …Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Reviews medical record ... from an accredited Health Information Technology or Coding program + Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), and/or… more
    University of Miami (07/30/25)
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  • Compliance Analyst (MI Health Plan) - REMOTE…

    Molina Healthcare (FL)
    …inquiries. + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. + Create and ... to advanced experience in Excel **PREFERRED QUALIFICATIONS:** + BA/BS and/or CHC ( Certified in Healthcare Compliance) To all current Molina employees: If you are… more
    Molina Healthcare (07/19/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... **Required Qualifications:** * MD or DO Degree and Currently Board Certified in Internal Medicine, Family Medicine, or Geriatric Medicine. "Board Eligible"… more
    CVS Health (07/18/25)
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  • RN Case Mgr

    HCA Healthcare (Fort Pierce, FL)
    …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... inpatient, and outpatient surgical services. Lawnwood Hospital is a designated Certified Primary Stroke Center. The Physical Rehabilitation Center is CARF… more
    HCA Healthcare (07/14/25)
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  • Social Worker MSW PRN

    HCA Healthcare (Margate, FL)
    …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... This proves our commitment to high performance and level of service. We are certified by the Joint Commission as a primary stroke center. We uphold the highest… more
    HCA Healthcare (07/14/25)
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  • Case Mgr RN

    HCA Healthcare (Fort Pierce, FL)
    …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... inpatient, and outpatient surgical services. Lawnwood Hospital is a designated Certified Primary Stroke Center. The Physical Rehabilitation Center is CARF… more
    HCA Healthcare (07/14/25)
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  • RN Case Mgr

    HCA Healthcare (Fort Pierce, FL)
    …and continued stay and discharge criteria. + Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... inpatient, and outpatient surgical services. Lawnwood Hospital is a designated Certified Primary Stroke Center. The Physical Rehabilitation Center is CARF… more
    HCA Healthcare (07/14/25)
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  • RN Case Mgr

    HCA Healthcare (Aventura, FL)
    …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... Center. This is awarded by the Florida Department of Health. We are certified as a Thrombectomy-Capable Stroke Center by the Joint Commission. Always offering the… more
    HCA Healthcare (07/14/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …calls, ensuring continuous education. + Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements. + Knowledge of ... + Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu… more
    HCA Healthcare (07/11/25)
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  • Division Vice President of Clinical Education

    HCA Healthcare (Fort Lauderdale, FL)
    …content that meets the accreditation standards of the Joint Commission, Medicare , Medicaid, and similar organizations from an educational perspective. + Establishes ... active compact license, in accordance with law and regulation. Required + Certified Nurse Educator Preferred + Certification from the Association of Nursing… more
    HCA Healthcare (06/21/25)
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